Melissa Carr Busnot, LCSW, CEAP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW4472 Issued in FL

Practice address

4741 Atlantic Blvd Ste B3
Jacksonville, FL 32207-2168

Phone

(904) 614-2802

NPI assigned

Aug 9, 2008

Last updated

Oct 1, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1218240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222819200000",
    "number": "1508012618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 ORIENTAL GARDENS RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322074255",
            "telephone_number": "904-614-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4741 ATLANTIC BLVD STE B3",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322072168",
            "telephone_number": "904-614-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSNOT",
        "first_name": "MELISSA",
        "middle_name": "CARR",
        "name_prefix": "Mrs.",
        "credential": "LCSW, CEAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-09",
        "last_updated": "2008-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW4472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Christina Bush
• Shatesse Bush
• Stephanie Bush, DPT
• Nandranie Busjit Bhalai, MSW, LCSW
• Steven Buskirk, MD
• Gabriel Busquets, D.C.
• Paul Busse, M.D.
• Brandi Bussey, CF-SLP
• Sidraya Bussie
• Bridget Olivia Bussjaeger

• Clinical Social Worker in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.